Individual
ADAM TIGER CHANTHAKEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15233 VENTURA BLVD STE 500, SHERMAN OAKS, CA 91403-2231
(763) 228-7622
Mailing address
500 FAIRWAY DR STE 102, DEERFIELD BEACH, FL 33441-1817
(877) 418-2978
(866) 500-2186
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
Other
Enumeration date
12/11/2021
Last updated
12/11/2021
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